Basic Information
| Provider Information | |||||||||
| NPI: | 1033723317 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZAMPELLA | ||||||||
| FirstName: | CASEY | ||||||||
| MiddleName: | JOAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3440 MARKET ST STE 410 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191043338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155907532 | ||||||||
| FaxNumber: | 2155904251 | ||||||||
| Practice Location | |||||||||
| Address1: | 2716 SOUTH ST OFC 5322 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191462305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5182652361 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/03/2020 | ||||||||
| LastUpdateDate: | 09/03/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | PS019032 | PA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.